On December 02, 2016 a
Exhibit,Appendix
was filed
involving a dispute between
Klara Khutoryanskaya,
and
Alexander Rabinovich M.D.,
Brooklyn Eye Surgery Center L.L.C. D B A Brooklyn Eye Surgery Center,
John And Jane Does 1 - 100,
Laser & Microsurgery, P.C. D B A Ny Lasik Laser & Microsurgery Institute,
for Torts - Medical, Dental, or Podiatrist Malpractice
in the District Court of Kings County.
Preview
FILED: KINGS COUNTY CLERK 05/09/2018 09:32 AM INDEX NO. 521431/2016
NYSCEF DOC. NO. 46 RECEIVED NYSCEF: 05/09/2018
FILED: KINGS COUNTY CLERK 05/09/2018 09:32 AM INDEX NO. 521431/2016
NYSCEF DOC. NO. 46 RECEIVED NYSCEF: 05/09/2018
AFFIDAVIT OF SERVICE t acc ~
ft/
STATE OF NEW Y ORK +~et I 5 L
COUNTY OF KINGS SUPREME COURT FILED ON: 12/2/2016 INDEX NO.: 521431/2016
KLARA KHUTORYANSKAYA Plaintiff(s)-Petitioner(s)
-vs-
LASER 4 MICROSURGERY, P.C. d/b/aNY LASlK LASER 2 MICROSURGERY
INSTITUTE; et al. Defendant(s)-Respondent(s)
STATE OF NEW YORK}
COUNTY OF SARATOGA ss.}
1, Robert W. Narcavage IIIbeing duly sworn, deposes and says thatdeponent isover the age of eighteen years,is
not a party inthis proceeding and resides inNew York State.
On DECEMBER 9, 2016 at 11:25 A.M.
Deponent served two truecopies of NOTICE REGARDING AVAILABILITY OF ELECTRONIC FILING SUPREME COURT
CASES, SUMMONS AND VERIFIED COMPLAINT & CERTIFICATE OF MERIT
bearing index number: 521431/2016 and date of filing:12/2/2016
upon LASER & MICROSURGERY, P.C.
at address: SECRETARY OF STATE,99 WASHINGTON AVENUE
city and state: ALBANY, NY 12210
MANNER OF SERVICE1
PERSONAL
By deliveringto and leavingwith personally}
known tothe deponent tobe the same person mentioned and described inthe above proceeding as theperson tobe served.
.Sorr
SUl¤BLE AGE PERSON
By deliveringand leaving with personally}
at the
premises mentioned above.Such person knowing theperson to be servedand:issociaied with him/her,and after
conversing withhim/her, deponent believes him/her to be a suitable
age and discretion.
:I
AUTHOR1ZED AGENT
X By deliveringand leaving 2 copieswith} NANCY DOUGHERTY, BUSINESS DOCUMENT SPECIALIST
the agentforservice on theperson inthis proceeding designated underRule 306 BCL and tendering therequired fee.
Servicehaving been made to such person at the
place, dateand lime above.
AFF(yfNG ro DOOR,ETC.
By affixinga truecopy ofeach to thedoor of the actual
place of business,dwelling placeor usual placeof abode statedabove.
Deponent was unable with due diligenceto lindthe properor authorized person tobe served,or a personof suitableage and
discretionat theactualplace ofbusiness, dwelling placeor usualplace ofabode statedabove afterhaving calledthere on the
following datesand times:
MAILING
Deponent completed service by depositinga truecopy of each ina postpaid,properly addressed envelope in an official
depository
Confidential"
under the exclusivecare and custody ofthe United StatesPostal Service.The package was labeled"Personal &
and mailed to theperson statedabove at address
on . The envelope did notindicateon the outsidethatthe communication was from an attorneyor concerned an action
againstthe recipient.
The envelope was mailed by _first
first class mail-certified
certified
mail _registered
rcgistcrcdmail _return
return receiptrequested.
Certified or registered number:
Deponent further statesupon information and belief that said person so served isnot in the Military service
of the State ofNew York or the United Statesas the term isdefined in either Stateor Federal statutes.
DESCRIPTION} deponent describes the person actually served as:
Sex: fEMALE Race/Skin Color: WHITE Hair Color: BROWN
Approximate Age: 55 years Approximate Height: 5'5" Approximate Weight: pounds
5 130
Otiter:
Subsc bed and swom before me on} DECEMBER 9, 2016
I
Attorney:
Rublic5tate of New York GrA°¤P ROBERT W. NARCAVAGE III
Notary PC3
Mark McClosky Suite 9 Brooklyn,
NY 11235 Deponent
Qualified
in SchenectadyCounty (718)502-9112
Number 01MC6042335
Expires:May'22,2018
NLS//:16-15404
FIRM FILE # 459152
//
afiidnvit
FILED: KINGS COUNTY CLERK 05/09/2018 09:32 AM INDEX NO. 521431/2016
NYSCEF DOC. NO. 46 RECEIVED NYSCEF: 05/09/2018
O'
AFFIDAVIT OF SERVICE \C.a r at )C
STATE OF NEW YORK lJ
COUNTY OF KINGS SUPREME COURT FILED ON: 12/2/2016 INDEX NO.: 521431/2016
KLARA KHUTORYANSKAYA Plaintiff(s)-Petitioner(s)
-vs-
LASER & MICROSURGERY, P.C. d/b/aNY LASIK LASER & MICROSURGERY
INSTITUTE; et al. Defendant(s)-Respondent(s)
STATE OF NEW YORK}
COUNTY OF SARATOGA ss.}
1, Robert W. Narcavage Illbeing duly sworn, deposes and says thatdeponent isover the age of eighteen years, is
not a party inthis proceeding and resides inNew York State.
On DECEMBER 9, 2016 at I 1:25A.M.
Deponent served two truecopies of NOTICE REGARDING AVAILABILITY OF ELECTRONIC FILING SUPREME COURT
CASES, SUMMONS AND VERIFIED COMPLAINT &
i% CERTIFICATE OF MERIT
bearing index number: 521431/2016 and date of filing:12/2/2016
upon BROOKLYN EYE SURGERY CENTER L.L,C.
at address: SECRETARY OF STATE, 99 WASHINGTON AVENUE
city and state: ALBANY, NY 12210
MANNER OF SERVICE}
PERSoNAL
By deliveringto and leavingwith personally}
known tothe deponent to be thesame person mentioned and described inthe above proceeding as theperson to be served.
SlflTABLE AGE PERSoN
By delivering and leavingwith personally}
at thepremises mentioned above. Such person knowing theperson to be servedand associated with him/her,and after
conversing with him/her, deponent believes him/her tobe a suitableage and discretion.
:I
AfrTHORIZEDAGENT
rt
Document Filed Date
May 09, 2018
Case Filing Date
December 02, 2016
Category
Torts - Medical, Dental, or Podiatrist Malpractice
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